EL-03-113PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -22
Date' J 0 3 T Job Address A? WE 96 Or Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee/Tenet flieffo PCS
14o1 A1w 13 1 At,e 4 3o 1
Owner's Address st te1 ri S e, 'tot i o1 q,
Contractin Co nsttint, 5- 1-de.. Recta -ic o F south Frorlik 113E0 W. $W /Zt 1313,Qowie,F.333as
Q»alifier$ JJafore ciaser Phone QLW - '176- 551
State # EC )3001Q01 Municipal # Competency # Ins. Co. ,4SSoca atot. ,.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: /Lfe i g qa /pALe 4 IP1 fa etas-fl Chia/at Sic-AO !e ftaryl; S&.e rc S
Radio Cti. nef
Pres)9 y a n. aka r c �.
Square Ft. ale , c 2 Estimated Cost (value) c2S00D 7brAc- (9 tfec. -biter 1
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
fr
i ja4
Si o er
and/or of or Condo President
Notary as to Owner and/or Condo President
My Commission Expires
51 ,„ Aaron L Lockwood
My Commission D0133265
Fl Expires July 11, 2008
FEES: PERMIT .7 RADON C.C.F
2002
Date Signature of Contractor or Owner Builder
Date Notary as to Contractor or Owner Builder
My Commission Expires
APPROVED:
Zoning Building
Mechanical
Plumbing
Phone QSy 839 -a6y4
it Aaron L Lockwood My Commission 00133265
%ort Expires J 11, 2008
NOTARY BOND
Electrical
TOTAL DUE
Date
Date
Structural Engineer
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Request
Date 1 Time
_
� !/
" I
Type
Permit No. . FL 1 2 0 O .R ,/ 1 3
Address (D v l . \ e ? p
■
Company
Phone # 3 S "" in , 1 , `�
�"
For Inspecto `` ) 13/ !3 C Name & Date
Approved 11
Correction ❑ / - SLY
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp n
Permit No.
�
Address � e- •
�r n
Name
une
Company
Phone #
For Inspector: / Name
Approv
Correction ❑
Re- Insp'n Fee ❑
305- 795 -2204
Building Inspection Re
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTME
Date
Type Insp'n
Permit No. 1. +® 4197 e /7 3
Name /Ll S I ,P1z e /3er /'
Address 04 7--■ % f� 5
Company 5-41•4417/ r / -- e
Phone # C f �' 1' ® P6V7
Name & Date
est 21
Time
r 717-' 4.44,
eiL
Date
Type Insp'n
Permit No.
Name
Address
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
For Inspector:
Appro
Correction ❑ . �G y�3
Re- Insp'n Fee ❑
MIAMI SHORES VII,
BUILDING DEPAR
305- 795 -2204
Building Inspection Request
Date T'
Type Insp'
Permit No.
Name
Address
Company /� fi Phone # ' ' Q (/ 9 g
For Inspector: Name & Date
ed-V
Approved W /1/°II
Correction
Re- Insp'n Fee ❑
;Rpr 29 03 12:06p Dynamic 772 -879 -1654 p.2
APR 29 2003 11 :56A11 HP LASERJET 3200 p 7 5
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
1940 NORTH MONROE STANET.
TALLA ASSEE - FL 32399=0783 •
BAUSER SALVATORE ANTHONY
fuNSH1NE STATE ELECTRIC OF SODTB FLORIDA INC
9831 N OAR KNOLL CIR
FORT LAUDERDALE .- FL •
(850) 487 -1395
DETACH HERE
DATE ,BATH NUMBER
2EUL -138
CITY OE TIIANM MOUES VILLA=
HALL
30050 32 2E0 AVENUE
318t7I SHORES EI. 33330
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ACIM. CERTIFICATE OF LIABILITY INSURANCE oPe
REDED & 390WN INC
8000 GOVEMOOM3 WNW BLVD 400
1UA32 19933 NZ 33016 -1588
Phan*: 305 364 -7000 Fax: 303 -422 -5687
DRUMM
SONSEIRE STATE ELECTRIC
DAVE F L 3332 sums 5 04 BZDG 813
CERTIRCATE MIXER
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HP LASERJET 3200
Senders no: la
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T►BS C5TRFlCAT613IBSOND AS A NATTER OF 4NFORMATIQA
any RID CONFERI NO RIGHTS UPON TEN CERTIPECTRT2
NOLOER. MS CERTIFICATE DOES NOT AMEBID, EXTEND 04
ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
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772 -979 -1654
MUMS AFFORDING COVERAGE
ASSOCIATED 3ND INS CO
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4 PALM t iY =�1 y soeed of County Commis*lanvs, Bpeepr4 cty Florids - -
Yr _ !ROWARD COUNTY OCCt1PATe: NAL UCENEE TAX
moo. '`' - • FOR•PER100 OCTOBER 1,20I2TRRUREPTEMBERM 2003
0 :'• FER Ste••-: 18 1 114
C]' AlEltll bATE BUSINESS OPENED
9 s s M art r t z CO 1 21I t.
11860 W STATE RD 84 3
DA 3324
V.IE
OUSINESS PHONE' (954)476-5513
TIf1S LICENSE MUST HE CONSPICUOUSLY DISPLAYED
70 MAW VIEW AT TNE10CADON ADDRESS ABOVE.
•
.
BPOWARD COUNTY REVENUE COLLECTOR
MS. Andrews Avenue, Governmental Center Annex
PORT LAUDERDALE, FL 33301
- Reference:
880X 5917
- DATE, FL 33310 -5917
SALVATORE• 1tAUSER
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et 6fludiudinadapi
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3.00
OCCUPATIONAL LICENSE
REMESSIMEammismmagg
SuNSHI - - St•ATE ELECTRIC
119160 'STATE RD 84 - 8»13 -
OkVIE Ft 33325
772- 879 -1654
BEFORE
StrfAMBER "PP:
181 Q00?tr` .
SUNSHINE STATE ELECTRIC OF
SOUTH FLOR CDA INC. .-- . - E - !I
HAUSER SALVATORE ti... g
111360 ii STATE RD 14 V01•3 _... -.
tA11LE FL . - 33324
TYPE OF LICENSE TAX PAID
ACCOUNT NUMBER
1
ELECTRICAL CONT1
10 UNITS
2002.2003
PAYMENT RECEIV DASVALIDAIEDABOVE
'SEE MC FO*TAANSPEH INFORMATION
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PERMIT x.32
OSPREY, FL
0012036
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01 1/2002
9130/2003
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- .;RAWIZr11.711 J. P;.11. R.A.
C:ONc3T1 BOfmo
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/6/2003
Applicant:
Owner:
JOB ADDRESS: 602 NE 96
Contractor SUNSHINE STATE INC
Local Phone: 305 -474 -8484
Parcel # 1132060141410
Sign
Leg
Electrical Permit
Permit Number: EL2003 -113
ST
Contractor's Address: 15939 NW 48 AVE
Page 1 of 1
al Description: MIAMI SHORES SEC 2' PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
P -S24);(4A 2.1_5_ 0 0
Total Fees: $O89-
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: $25,000.00
Work: ADDING ANTENNAS AND EQUIPMENT TO EXISITNG CHURCH STEEPLE @MIAMI SHORES PREBYSTERIAN CHURCH
` In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
0 :. U.. i t4.trU1 7E1 E1 i,,l fi sl'
(Contractor or Builder) BY:
EM
• T H TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
CET
LIGHT CUTLETS
CENTRAL HEATING
S,AASHER
RECEPTACLES
_
A/C (WIND)
E' OSAL
SERVICE TEMPORARY
jr A(CENTRAL)
JINXING FOUNTAIN
SERVICE SIZE IN AWS
DUCT per(
.CDR CRAIN
SERVICE REPAIRAETER CHANGE
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS ANO PRESS PIPING
IIRCEPTOR
RANGE TOP
UNDERGROU?O TANXS
,VATCflY
OVEN
ABOVE GROUND TANXS
.UNORY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
.OTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
NX, POT/3 CCM'.
_
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
A. RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
NK, SLOP
:WCRARY WATER CLOSET
3INA1
MOTORS OVER 8- 10 FP
MOTORS OVER 10- 25 HP
'
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
KITCRS OVER 25-100 ?P
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 HP
A/C WINDOW
_
VIOLATION
RE INSPECTION
,
DIRECT WASTES
;TER SUPPLY TO:
AIR CONDITIONERS
I
-
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
HEATER-NEW INST.
HEATER- REPLACE
LAWN SMOKER -WELL
SWIMMING POOL
GENERATORS TRAIISFOR1JERS
GENERATORS MEMOS
GENERATORS TRIMMERS
SPECIAL PURPOSE 'fill drijA 4
{
•
CUTLETS CtIERCIAL
WATER SERVICE
SIGN TL&ES
WZR CONNECTIONS
SIGN TRANSF( ERS
ILITY -SEWER
SIGN TIME a.C<
ILITY -WATER
FIXTLRES
LAY TANK
LAY
AIRFIELD, Al" TILE/RES.
N.R & ABANDON SEPTIC TANK
AXAGE PIT CU. FT.
AMENNA •
I
TELEVISION CURETS
VIOLATION
=_
REINSPECTION
TCH BASIN
SOi,+AGE WELL
_
4ESTIC WELL
EA CRAIN
CF INLET
LAR WATER HEATER
;E STANDPIPE
CL PIPING
NM SPRINKLER SYSTEM
SRAM
TER SET (GAS)
_
3 PIPING
=�v A 2LICATION FOR BUILDING PERNIT MUST ACCOHPANT THIS ADDENDUM. IF A MASTER PERHIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL